NPI 1083651186 · Diagnostic Radiology · Anthem
Strong multi-source corroboration of active practice across 3 carrier networks with confirmed Colorado DORA license.
NPPES
LONE TREE, 80124
Freshness: Unknown
Network Status
Listed with 4 carriers
DORA License
Active
Medicare
2,656 services
71 beneficiaries
$10,871.53 total payment
Specialty: Diagnostic Radiology
Care Compare
Address mismatch with NPPES
Active NPI with specialty classification
Active Colorado DORA license confirmed
Active Medicare billing confirmed
Single address source (NPPES)
Limited carrier network presence
3 networks across 2 carriers
Disclaimer: This analysis uses publicly available federal and state data sources. It does not constitute a determination of provider status or network participation. Contact the provider or health plan directly to verify current status.
PECOS Enrollment
Medicare enrolled
Order/Referring eligible: Yes
Showing 20 of 21 evidence events.